Middleton, William Wade

Middleton, William Wade is an individual health care provider with primary practice located at 3630 E Imperial Hwy , Lynwood CA 90262-2609. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Licensed Psychiatric Technician. Nursing Service Providers / Licensed Psychiatric Technician is his primary health care specialty. Middleton, William Wade can be contacted via phone (301) 900-8210.

Contact Information

Primary practice address
3630 E Imperial Hwy Lynwood CA 90262-2609
Phone: (301) 900-8210
Fax: (310) 900-8286
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PT26958 California
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT26958 California

Profile Details

NPI number 1922488923
LBN Legal business name Middleton, William Wade
Credentials LPT/PET CLINICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2015
Last updated Aug 28th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922488923 NPPES
California Other 167G00000X ADDTAXONMY
California MEDICAID 1245227180 ADDTAXONMY

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